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Organization
SORIN MEDICAL PC
Active
Organization
SORIN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA GOMEZ (MANAGER)
(718) 266-0900
Entity
Organization
Contact information
Practice address
120 WALL ST STE 175, NEW YORK, NY 10005-3904
(718) 266-0900
(718) 266-1426
Mailing address
8718 BAY PARKWAY, FLOORS1 AND 2, BROOKLYN, NY 11214
(718) 266-0900
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
NULL
202K00000X
Phlebology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
—
NULL
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
NULL
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
NULL
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
NULL
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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